
        <table class="vertical_table" id='t_external_ocular_exam'>
            <caption>Slit Lamp Examination (For each question, mark one box per eye)</caption>
            <thead>
                <tr>
                    <th colspan="3"><?php echo xl('Cornea - Edema'); ?></th>
                </tr>
				<tr>
                    <th colspan="3"><?php echo xl('Cornea - Staining/Erosion'); ?></th>
                </tr>
				<tr>
                    <th colspan="3"><?php echo xl('Anterior Chamber Cells'); ?></th>
                </tr>
				<tr>
                    <th colspan="3"><?php echo xl('Anterior Chamber Flare'); ?></th>
                </tr>
				<tr>
                    <th colspan="3"><?php echo xl('Iris Athrophy/Erosion'); ?></th>
                </tr>
				<tr>
                    <th colspan="3"><?php echo xl('Iris Peaking'); ?></th>
                </tr>
				<tr>
                    <th colspan="3"><?php echo xl('Iris Rubeosis'); ?></th>
                </tr>
				<tr>
                    <th colspan="3"><?php echo xl('Slit Lamp Other, specify and grade below, or indicate'); ?></th>
                </tr>
            </thead>
            <tbody>
            </tbody>
            <tfoot>
                <tr>
                    <td colspan="4">Footer</td>
                </tr>
            </tfoot>
        </table>